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Provider 1487659512

NPI: 1487659512Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.3M

$16,258,046

Total Claims

191K

Beneficiaries

179K

1.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+9%
2019
$1.9M
-22%
2020
$1.4M
+76%
2021
$2.5M
+17%
2022
$3.0M
+0%
2023
$3.0M
-9%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 23% of total spending.

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$3.8M

52K claims · 23.3%

Your Cost: $73.34/claim|Median: $37.81
1.9× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$3.4M

34K claims · 20.9%

Your Cost: $99.27/claim|Median: $57.85
1.7× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$2.4M

23K claims · 15.0%

Your Cost: $105.58/claim|Median: $59.25
1.8× median
17111Top 25%

$1.5M

14K claims · 9.0%

Your Cost: $108.50/claim|Median: $80.28
1.4× median
10040Top 10%

$1.1M

9,046 claims · 6.7%

Your Cost: $120.26/claim|Median: $70.50
1.7× median
17004Normal range

$826K

10K claims · 5.1%

Your Cost: $79.43/claim|Median: $65.58
1.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$687K

9,352 claims · 4.2%

Your Cost: $73.41/claim|Median: $40.11
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$496K

10K claims · 3.1%

Your Cost: $48.59/claim|Median: $25.06
1.9× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$495K

4,884 claims · 3.0%

Your Cost: $101.31/claim|Median: $53.41
1.9× median
11102Top 25%

$454K

5,564 claims · 2.8%

Your Cost: $81.59/claim|Median: $48.69
1.7× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$210K

1,414 claims · 1.3%

Your Cost: $148.32/claim|Median: $84.03
1.8× median
10060Normal range

Incision and drainage of abscess, simple

$182K

1,593 claims · 1.1%

Your Cost: $114.46/claim|Median: $75.72
1.5× median
17000Top 25%

$143K

3,671 claims · 0.9%

Your Cost: $39.07/claim|Median: $21.35
1.8× median
11900Top 25%

$136K

2,656 claims · 0.8%

Your Cost: $51.04/claim|Median: $31.25
1.6× median
11901Top 10%

$85K

1,278 claims · 0.5%

Your Cost: $66.69/claim|Median: $36.91
1.8× median
17003Top 10%

$68K

2,601 claims · 0.4%

Your Cost: $26.33/claim|Median: $8.67
3.0× median
95044Normal range

$65K

260 claims · 0.4%

Your Cost: $250.45/claim|Median: $209.40
1.2× median
10061Top 10%

$54K

240 claims · 0.3%

Your Cost: $224.17/claim|Median: $101.03
2.2× median
13101Top 25%

$47K

147 claims · 0.3%

Your Cost: $318.51/claim|Median: $242.52
1.3× median
96920Normal range

$43K

294 claims · 0.3%

Your Cost: $147.46/claim|Median: $118.58
1.2× median
96922Normal range

$28K

140 claims · 0.2%

Your Cost: $203.33/claim|Median: $194.79
1.0× median
11100Top 25%

$27K

331 claims · 0.2%

Your Cost: $81.08/claim|Median: $44.58
1.8× median
11403Normal range

$9K

118 claims · 0.1%

Your Cost: $75.63/claim|Median: $66.68
1.1× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$6K

123 claims · 0.0%

Your Cost: $48.60/claim|Median: $27.38
1.8× median
96921Normal range

$6K

58 claims · 0.0%

Your Cost: $96.54/claim|Median: $106.73
0.9× median
99051Normal range

$4K

758 claims · 0.0%

Your Cost: $5.84/claim|Median: $7.89
0.7× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$4K

3,206 claims · 0.0%

Your Cost: $1.25/claim|Median: $2.91
0.4× median
11103Normal range

$3K

72 claims · 0.0%

Your Cost: $47.59/claim|Median: $37.08
1.3× median
11402Normal range

$2K

33 claims · 0.0%

Your Cost: $74.51/claim|Median: $68.11
1.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$489

32 claims · 0.0%

Your Cost: $15.27/claim|Median: $9.56
1.6× median